REV91824

• Permit No: C1981038
• IBM Index Class Name: Revision
• Doc Date: 7/19/1990
• Doc Name: MR 90-69 USE OF INTERMEDIATE MATERIAL FROM THE EAST RIDGE OF THE WASTE PILE CYPRUS ORCHARD VALLEY MI
• From: CYPRUS ORCHARD VALLEY
• To: MLRD
• Type & Sequence: MR69
• Media Type: D
• Archive: No

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Richartl D. Lamm
Governor
APPLICATION FORM FORA REVISION
TO A COAL MINING AND RECLAMATION PERMIT
This form must be completed and submitted with all requests for minor revisions, as
defined in Rule 1.04(73), technical revisions as defined in P.u1e 1.04(36) and permit
revisions, as defined in Rule 1.04(90). All revisions are to address the requirements
of Rule 2.08.4.
All revisions are to be formatted so they can be inserted into the permit to replace the
_ revised sections, maps, tables and/or figures. Explain in the revision what section is
being revised. The revision date should be printed in the lower right corner of the
revision pages. If necessary, the Table of Contents should also be revised.
Date: 0 7/ 0 9/ 9 0
Perini ttee: C Y P R U S 0 R C H A R D "~ r?' ~``
V A L L E Y- M ~ I~,~----
Street: P O- B 0 X- I 2 9 9---- J (J ~ 1~-
City: P A o N I A _ _ _ _ - - - - - __^t.~I~~iATt!Ort ~~tn~tn~_,
State: ~ 0 Zip Code: 8 1 4 2 8-
- - - - - - - - - - -
Permit No.: C- 8 1- 0 3 8
This box to be filled in by the Division:
Type of Revision: ~ ~ (PR, TR, or MR)
Revision Number ~ ~ (Sequential by Revision Type)
Revision Submittal Date ~/1~/ ~O(Date Received by Division)
P,evision Completeness Date b7/~/4o Revision Incompleteness Date -/ /
Revision Adequacy Due Date _/_/_ Revision Adequacy Date _/ /_
Revision Decision Due Date O 7 //O/ 5 D Fee 50.00
Brief Description Of Revision: USE OF INTERMEDIATE MATERIAL FROM EAST
- - - - - - - - - - - - - - -
RIDGE OF WASTE PILE
-------------------
Public Notice Attached - Yes _ No g (Required for PR's and TR's)
Bond Increase: Yes No x
Proposed Change in:
Disturbed Area (+/-) _ _ 0 .0 Acres
Permit Area (+/-) _ _ 0 .0 Acres
State Land (+/-) - - 0 Acres
Lead Reclamation Specialist 1
DEPARTMENT OF NATURAL RESOURCES
Dav~tl H. Getches, Executive Duector

MINED LAND RECLAMATION DI\
DAVID C. SHELTO N, Director
Affected Area (+/-) - - Q.Q Acres
Federal Land (+/-) _ _ o Acres
Private Land (+/-) - - Q Acres
6185E
423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. [phone]